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DSH450015DC DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH (Active)
Main Details
Name
DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH
Subdivision Name
Garland Health Center - Pediatrics
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450015DC
Medicare Provider Number
450015
Outpatient Facility Provider Number
Contacts
Authorizing Official
Parkland Health and Hospital System
Vivian B. Johnson, Senior Vice President, Clinical Services
(469) 419-1946
Primary Contact
Parkland Hospital
Mayank Shah, Pharmacy 340B Program Manager
(469) 419-1964
Additional Details
Current Program Status
Active
Registration Date
10/7/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/23/2019
Last Recertification Date
8/30/2023
Addresses
Street Address
601 Clara Barton Blvd
Suite 200
Garland, TX 75042
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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